HomeMy WebLinkAboutJuly 07-July 13 ACSSD Support Forms Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Sign Printed Name: Date:
Signature: ; Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at AM -
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
1 4C)LI -Y-& r P'a-a :_7-eirl e
I/We the undersigned owner(s)want to
(check one) _ Protest -y Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: _ Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
I
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on "7 / /2015 at AMew
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest I- Support
the cre ion of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
ann I as essment and provide for a method of assessments for the purposes of constructing, improving and
� iniainin portions of the city's transportation network classified as arterial and collector streets.
ig ature , Printed Name: Date:
o
I=� t� r�� �C , hbU, �l� Z -3,1)
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s)of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on 4/ 7 /2015 at :�"~- A M
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
�>zI GCl2 CU,G,`� Stab' t,0 N fz--0 [3 ()Z�GMA Al Mt JY
I/We the undersigned owner(s)want to
(check one) _ Protest ZSupport
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
`� j S 4 i2- � 1
,fz
Signature: Printed Name: Date:
C-tz�j-Vc tz J
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on /f /2015 at A PM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
IA/Ve the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
S Me. Printed Name: Date-
Sig t e. Printed Na Date:
G �/"j `'I1zO I�5
Slg atur Printed Name: Die:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representatives)of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERF ' OFFICE USE ONLY
Received b CityClerk on / /2015 at A M
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description
()q
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
S ture Printed Name: Dater
6A
r
s yr4
Sighaflie. Printed Nar : Date:
Slg atur P Printed Name: DAte:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on 7 0 /2015 at 4- :C DA _U
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
bO�) ( [07H_/+L/�7JLk6_
INVe the undersigned owner(s)want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintainingportions of the city's transportation network classified as arterial and collector streets.
Signatur Printed Name: Date:
-VI
Signatur': Printed Name: tef
td ; P � Zols
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on /0/2015 at M PM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
L?)C) _
I/We the undersigned owner(s)want to
(check one) _ Protest _4Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
lv� ��, _ 1AR - I �VMV �J_ It I
Sig ature: Printed Name: Date:
Signature: Printed Name: ate.
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the c ity's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
/l FOR CITY CCLERK' OFFICE USE ONLY
Received b City ` y Clerk on / U /2015 at 7J : <A�A/PM. `
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
g 15 3-�k4" A-Vc.
I/We the undersigned owner(s)want to
(check one) _ Protest ? Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signs re: Printed Name: Dat
% Ta--�h" VA vv�\tk-^\f\( 'S__\5� J
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representatives) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CIITY� CLERK'S OFFICE USE ONLY
Received by City Clerk on /�/2015 at M.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
M/ ;L
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
SignatLe: Printed Name: Date:
ff/u& �Aq / 7-7 l`-
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on /_J�2_/2015 at 0 :G6 /PM.
4--^\-
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest X Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Yer� L S4 411 .� � 7-�-acr�
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s)of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on /AD /2015 at W
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
Me the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signat Printed Name: Date:
tur Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
IMe the undersigned legally authorized representative(s)of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received b CityClerk on /�/2015 at
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal descriptio
/0 90 Le
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature, Printed Name: Da e:
UVf_ J r L • /�vc�hatjIS 71 J/s
Signatu Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
Me the undersigned legally authorized representative(s)of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by Cit Clerk on ` 015 at
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Sign t-urd: Per' ed Name: Date:
S i g n a re: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at '! PM ,
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
3 S 1 u J ) S 7
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Si Printed Name: Date:
r1�
RC6ee�_ �bG^f�,'�� 6_�3o/ts
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at A 6
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest riSupport
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signat ire, Printed Name: Title: Date:
Sign r Printed Name: Title: Date:
l�
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at f :C. "A tPP �"" ' -
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description: 991
1 6_1-7is
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Sign ur . ,) Printed Name: Date:
Signature: Printed Na Date:
-lu I//
PdA t-C U-q /Y/,q R/n �41 /
Signature: V Printed Name: Date.
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S-OFFICE USE ONLY
Received by City Clerk on % /2015 at f : `:�,e)A _'
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
INVe the undersigned owner(s)want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
air le `air
I/We the undersigned legally authorized representative(s) oft the organization that owns the above listed property want to
(check one) _ Protest L.—Z Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Sign e: Printed Name: Title: _, Date:,
Signature: Printed Name: Title: Date:
FOR CITY CLERK' OFFICE USE ONLY
Received b :t City Clerk on- / /2015 at A "PI
'` -
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name: �r
a/i � �' 1
Property address or legal description:
5 km
I/We the undersigned legally authorized representatives)of the organization that owns the above listed property want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified-as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK' .OFFICE USE ONLY
Received b City Clerk on / § /2015 at AM/ --
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
7 /0 1-7 L&A T/ A-) �2�� �V L'
I/We the undersigned owner(s)want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
igna re: Printed Name: Date:
Signature: "=, Printed Name: `Date;
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representatives) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
INVe the undersigned owner(s)want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name: 9" L(�
Property address or le al description:
I/We the undersigned legally authorized representative(s) of the organization that owwn-s- the above listed property want to
(check one) _ Protest `Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets._$____
Signature: .._._ Printed Name- Title: D0 t
u P-12"&),a R,0
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk n` / /2015 at 1 AMrM�'
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Na • ,1
Property address or legal description:
a9141�� V/mil
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest Woport
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature Pri ted Name: TAle: Date-
A"
s`U /9 t2P# -)P� re- 7 f 1�
Signature: rinted Name: Title: D te:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at l %AMM
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legalj on:
QDnn,e__]
descrip(s- 0 N --e &
I e he undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signa# re: ,! Printed Name: Date:
Signa e: Printed Name: Dat
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s)of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of fqr the purposes vt puristiucting, Iniprovinq_ an_d
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received b City Clerk on f /2015 at : _ A M 1 '
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
1�v,& , -3,,1 IM Ily-1 A 51�3
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printe Name: Date:
Signature- Printed Name: Date:
7YO16) ('xiollo DALL 7/1/1 .5
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
i
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
�LQI cuter O h OQ �I'Ih� 9-
, � y
4a
WLL_
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on % /2015 at f 60AM/P1v.
2
Arterial and Collector Street Special District
Protest/Support Form
PART I - Property owned by individuals, please complete this section.
Property address or legal description:
41M/17
IA'Ve the undersigned owner(s)want to f
(check one) Protest — Support
the cr ation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annuj assessment and provide for a method of assessments for the purposes of constructing, improving and
maint a ini port' f the city's transportation network classified as arterial and collector streets.
7 , �7
Sigl� e z Printed Name: Date:
.
rLty C/
Si, U Printed Name: Date:
A
Cca e, t1ile 7
Signa I lure: Printed Name: Dale:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) Protest — Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by CityClerk on /2015 at �=''A M,
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We a undersig6e owner(s)want to
(check one) _ Protest 4- Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
!a
Signature: Printed Nam& Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on d / /2015 at -'AM/ a
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest 1 Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Si Lure: Printed Name: Date-
ttufi IVI n-pl
Signature: V Printed Name: Date:
L AA fit,:; : �Z Co -t3�2
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at e Amm*�t A
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
'L a l b ;7A94-MiA$-I,. �jo1.E,N.ar,J� M,r S on k e
INVe the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Si re: Printed Name: Date:7Ctu :
? -^'' � -tA1J
Sign re: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / 6 /2015 at '. :c.C.)AN}
2
i
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
14 ( 9 0 A-(c_�"5eNKJ -2-A—ae_�
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signat1_7�,
Printed Name: Date:
66 N4 A- (flte-Q I-- I- Is-
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by CityClerk on / s /2015 at f A PM,
2
A special note for condominium owners: An owner of property created as a condominium may protest the creation of the
district only through the president, vice president, secretary, or treasurer of the condominium owners' association who timely
presents to the City Clerk the following information:
(a) a writing identifying the condominium property
(b) the condominium declaration or other condominium document that shows how votes of unit owners in the condominium
are calculated; (attach the declaration to this form)
(c) original signatures of owners of units in the condominium having an undivided ownership interest in the common
elements of the condominium sufficient to constitute an affirmative vote for an undertaking relating to the common
elements under the condominium declaration; and
(d) a certificate signed by the president, vice president, secretary, or treasurer of the condominium owners' association
certifying that the votes of the unit owners, as evidenced by the signatures of the owners, are sufficient to constitute an
affirmative vote of the condominium owners' association to protest against the creation of the district and its
improvements.
PART 3 - Property owned as part of a condominium, please complete this section.
Name of condominium:
Street address or legal description of condominium:
We the undersigned owners have an u ded ownership interest in the common elements of the above named
condominium present the following original si tures to the Bozeman City Commission indicating our support or protest
of the creation of city-wide, perpetual Arterial and lector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assess nts for the purposes of constructing, improving and
maintaining portions of the city's transportation network clas ' ied as arterial and collector streets.
Co ow er signature: Printed Name: Propert ddress: (Check one) Date:
yKe _ Protest
1610
-zcsupport
Condo owner signature: Printed Name: P operty address Check one) Date:
08 _ Protest
Suport
Condo Avner signature: Printed Name: Property address: (Check one) Date:
Protest
Support
Condo owner signature: Printed Name: Property address: (Check one) Date:
Protest
_Support
Condo owner signature: Printed Name: Property address: (Check one) Date:
Protest
Support
Condo owner signature: Printed Name: Property address: (Check one) Date:
Protest
_Support
Condo owner signature: Printed Name: Property address: (Check one) Date:
Protest
_Support
Certificate of Condominium Officer
I certify that the above listed signatures of the owners having an undivided ownership interest in the common elements
of the condominium sufficient to constitute an affirmative vote for an undertaking relating to the common elements under
our condominium declaration hereby
(check one) _ Protest Support
the creation of Arterial and Collector Streets Special District for our condomini m.
Sign reofcon off r,._,w _ Title✓ ¢
Rf CITY CLERK'S FF)CE USE ONLY
[Received by City Clerk on /" /2015 at 1PM.
3
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner s)want t
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Sig ature: Printed Name: Da e:
NN E .
a M T- 7 ao
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representatives) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
i
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on 5/ jS 2015 at
t
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
Z
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Sternature, Printed Name: Date:
Is
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
t
Property address or legal description:
Me the undersignea legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on ! /2015 at M.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
601 & 16 +-h Ave
I/e the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
/gnatre: / Printed Name: Date:
13/G
Mickato-1 J Sckul�z
Sig ature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at /PM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description: ,
I/We the undersigned owner(s)want to
(check one) _ Protest �upport
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representatives)of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on_111 12015 at PM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
IM/e the undersigned owner(s)want to
(check one) _ Protest X Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature, Printed Name: Date:
Signature: i Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at M M.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining ortions of the-city's transportation network classified as arterial and collector streets.
Signature: ,` Printed Name: Date:
,- 17
Si nature: n Printed Name: Date:
Signature: i Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of'the ganization that owns the above listed property want to
(check one) _ P otes�t�•.., _ Support
4
the creation of city-wide, perpetual Arterial and Coll or Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial qd collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at M.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description
I/We the undersigned owner(s)want to
(check one) _ Protest ZSupport
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Sign ture: Printed Name: \ Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name,
Property address or legal description:
I/We the undersigned legally authorized representatives) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at /PM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
BMMM&MdfrTMfnM:NX&TRUST CO.OF WILLISTON, N. DAK.
Property address or legal description:
I/We the undersigned legally authorized represents ive(s) of the organizati n that owns the above listed property want to
(check one) _ Protest X Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Sig nature. Printed Name: Title: Date:
Printed Name: Title: Date:
SI���aaM�f E�18AN STATE BANK&TRUST CO. OF WILLISTON, N. DA
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at M/ M.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
com lete this section.
Entity/Owner Name: " ,o
w4t l- ` NTEv1- 771V
Property address or legal description:
Me the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Si at Pri ed N me* Title: Date:
�C%Yt�N eFAIr 7—S=2 049
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at M.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signat e: Printed Name: Date:
E; � 1 C44SI(t �\Mj S 713 /.-
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Propert ned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/ wraer a
Property address or legal description:
I/We the undersigned legally authorized representa e(s) of rganization that owns the above listed property want to
(check one) _ otest Support
the creation of city-wide, perpetual Art ' and Collector Street S cial District in the City of Bozeman to establish an
annual assessment and provide f method of assessments for the urposes of constructing, improving and
maintaining portions of the cit transportation network classified as art I and collector streets.
S' n Printed Name: Title: Date:
Yht,-k-CLLF,- 7 /S
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at /PM. 0.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section. j
Property address or legal description: Q
Me the undersigned owner(s)want to
check one Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Hate:
C--1 c�P JJl Z.Z r 57
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name: %
Property address or legal ,escr=iption:
V`\
Me the undersigned leg fly a t orized representative(s)of the organization that owns the above listed property want to
(chec%Arteri
_ Protest _ Support
the creation of city ide, perpetual and Collector Street Special District in the City of Bozeman to establish an
annual assessme t and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by CityClerk on / /2015 at 0 xopm. e ,
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
n ..
Ll
f
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Sigma >!e Printed Name: Date:
Signatur Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at M. (
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description: _
q 29 Nav-4t &6v of 4w t, (A �A
I/We the undersigned owner(s)want to
(check one) _ Protest 'Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
SignatuV/WV
Printed Name: Date:�
Signature: Printed Name: Date:
Signature: Print Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at PM. .
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at /PM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
11 4U!r14r. El `�Qi0
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signat Prin!SAeP,rt+,-t
Name: Date:
�N A JL 7--5,1 ty-
Signatu Printed Name: Date:
Sig A ture: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at /PM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
/ 7_; ts '
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Date:
�f of f— (Z f4l v 1' - 2-1 f 5—
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s)of the organization that owns the above listed property want to
(check one) — Protest — Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on ! /2015 at M.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or legal description:
I/We the undersigned owners. want to
ZSupport
(check one) Protest
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: r Printed Name: Date:
Signature: Printed N e: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at M.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned b individuals, lease complete this section.
Property address or legal description:
i4 ��h �e,
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Sig �re: � � J!� Printed Name: Date:
5
Signature: Printed Name: Date:
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representatives) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the_ci_iy_,, „✓Wu,*Uassified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at PM.
2
Arterial and Collector Street Special District
Protest/Support Form
PART 1 - Property owned by individuals, please complete this section.
Property address or le al description:
� ik r) n 'i-i I u a ,'t ry
I/We the undersigned owner(s)want to
(check one) _ Protest Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Sig ture: Printed Name: Date:
&, n
Antheci� P ' ,jc_6� ( Wqlu-
Signature: Printed Name: Date:
57
- 4-
Signature: Printed Name: Date:
Signature: Printed Name: Date:
PART 2 - Property owned by corporations, LLC, trusts or other organizations please
complete this section.
Entity/Owner Name:
Property address or legal description:
I/We the undersigned legally authorized representative(s) of the organization that owns the above listed property want to
(check one) _ Protest _ Support
the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Signature: Printed Name: Title: Date:
Signature: Printed Name: Title: Date:
FOR CITY CLERK'S OFFICE USE ONLY
Received by City Clerk on / /2015 at AM M.
2
A special note for condominium owners: An owner of property created as a condominium may protest the creation of the
district only through the president, vice president, secretary, or treasurer of the condominium owners' association who timely
presents to the City Clerk the following information:
(a) a writing identifying the condominium property
(b) the condominium declaration or other condominium document that shows how votes of unit owners in the condominium
are calculated; (attach the declaration to this form)
(c) original signatures of owners of units in the condominium having an undivided ownership interest in the common
elements of the condominium sufficient to constitute an affirmative vote for an undertaking relating to the common
elements under the condominium declaration; and
(d) a certificate signed by the president, vice president, secretary, or treasurer of the condominium owners' association
certifying that the votes of the unit owners, as evidenced by the signatures of the owners, are sufficient to constitute an
affirmative vote of the condominium owners' association to protest against the creation of the district and its
improvements.
PART 3 - Property owned as part of a condominium, please complete this section.
Name of condominium. C
Street y.ddress r-legal description of cor&ofninium
We a ndersigned owners lave an undivided ownership interest in the common elements of the above named
condominium present the following original signatures to the Bozeman City Commission indicating our support or protest
of the creation of city-wide, perpetual Arterial and Collector Street Special District in the City of Bozeman to establish an
annual assessment and provide for a method of assessments for the purposes of constructing, improving and
maintaining portions of the city's transportation network classified as arterial and collector streets.
Condo owner signature: Printed Name: Property address: (Check one) Date:
A� _ r :
Protest
4a"Port //e�
gond6.6wn si nature Printed Name: Property address: (Check one) Date:
_ Protest
Support
Condo owner signature: Printed Name: Property address: (Check one) Date:
Protest
Support
Condo owner signature: Printed Name: Property address: (Check one) Date:
Protest
_Support
Condo owner signature: Printed Name: Property address: (Check one) Date:
Protest
Support
Condo owner signature: Printed Name: Property address: (Check one) Date:
Protest
_Support
Condo owner signature: Printed Name: Property address: (Check one) Date:
Protest
_Support
Certificate of Condominium Officer
I certify that the above listed signatures of the owners having an undivided ownership interest in the common elements
of the condominium sufficient to constitute an affirmative vote for an undertaking relating to the common elements under
our condominium declaration hereby
(check one) _ Protest _ Support
the creation of Arterial and Collector Streets Special District for our condominium.
Signature of condo officer: Title:
FOR CITY C ERK' Ot ICE USE ONLY
Received b CityClerk ona/ /2015 at M.
3